International Mortgage & Equity Advisors

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Pre-Qualify

Information About the Borrower:

Name of entity:
Names of Principals:
Address 1:
Address 2:
City:
State:	\| Zip Code:
Telephone:
Fax Number:
Email Address:

Tell Us About the Project:

Type of Property:
Reason for Loan Request:
Loan Amount (approximate):
Property Value (approximate):
Year Property Built:	\| No. of stories:
Purchase Price:
Purchase Date:

Brief description of project (i.e. Improvements, Location, etc.):